EMD Course v14
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Practice questions for this set
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Guidance to observe and protect a combative patient (typically age ≥8) if it
is safe to do so, to prevent self-harm or harm to others.
Choose an answer
What is the first link in the patient care chain
1 2 Protocol 36X - X-Card Exit (2nd Party)
of survival?
What is the fifth link in the patient care chain
3 PDI - Combative Patient Safety Instruction 4
of survival?
Don't know?
What is the first link in the patient care Recognition of cardiac arrest and activation of the emergency response system.
chain of survival?
What is the second link in the patient care Early cardiopulmonary resuscitation (CPR) with an emphasis on high-quality chest
chain of survival? compressions.
What is the third link in the patient care Rapid defibrillation.
chain of survival?
, What is the fourth link in the patient care Advanced resuscitation by EMS and other healthcare providers.
chain of survival?
What is the fifth link in the patient care Post-cardiac arrest care.
chain of survival?
What is the sixth link in the patient care Recovery (including additional treatment, observation, rehabilitation, and
chain of survival? psychological support).
What is the most appropriate Determinant 13-A-1
Code for an alert 48-year-old female
diabetic patient with low blood sugar? The
patient is behaving and breathing normally.
What is the most appropriate Determinate 13-C-2 or 13-C-1
Code for a 25-year-old male who is in
insulin shock? During Case Entry, the caller
reported that the patient was throwing
things. During Key Questions, the caller
reports that the patient is unaware of his
surroundings and "speaking crazy," but
breathing normally.
The final protocol used to provide post-dispatch instructions once the chief
Protocol 36 - Case Exit
complaint protocol is complete, and the scene is stable or help is on the way.
Provides medical or trauma-specific instructions to the patient directly. Includes NPO
Protocol 36.1 - 1st Party Caller Instructions (nothing by mouth) guidance unless diabetic and alert, and positioning advice based
on complaint type.
Used when the patient is stable and no further monitoring is required. Includes
Protocol 36.2 - Routine Disconnect (1st
scene preparation instructions: secure pets, gather medications, unlock doors, and
Party)
activate exterior lights.
Applied when the patient is stable but continued monitoring is necessary, or if the
Protocol 36.3 - Stay on Line (1st Party)
patient is unstable or not alert. Dispatcher remains on the line until responders arrive.
Used when the caller is not returning to the patient. Includes reassurance, NPO
Protocol 36X - X-Card Exit (2nd Party) instructions (unless diabetic and alert), and a directive to call back if the situation
worsens.
Protocol 36.1X - 2nd Party Caller Provides medical or trauma-specific instructions to a caller who is with the patient.
Instructions Includes positioning, NPO guidance, and monitoring instructions.
Protocol 36.2X - Routine Disconnect (2nd Used when the patient is stable and the caller is with them. Includes monitoring for
Party) changes in consciousness or vomiting, and scene preparation instructions.
Applied when the patient is unstable or requires continued monitoring. Dispatcher
Protocol 36.3X - Stay on Line (2nd Party)
remains on the line with the 2nd party caller until responders arrive.
Emergency Medical Dispatcher - a trained professional who uses structured
EMD
protocols to assess medical emergencies and provide pre-arrival instructions.
Nil Per Os – Latin for “nothing by mouth.” Used to prevent complications in patients
NPO
who may require surgery or have altered consciousness.
Advanced Life Support - a higher level of prehospital care provided by paramedics,
ALS
including IV therapy, intubation, and medication administration.
Basic Life Support - non-invasive emergency care such as CPR, AED use, and basic
BLS
airway management.
Post-Dispatch Instructions - scripted instructions provided after dispatching
PDI
responders, aimed at improving patient outcomes and scene safety.